Central Ma Orthodonitc Associates, PC

NPI #1184850091 in Spencer, Massachusetts

Provider Information

NPI Number: 1184850091
Entity Type: Organization
Organization Name: Central Ma Orthodonitc Associates, PC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTRAL MA ORTHODONTIC ASSOCAITES, PC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jun 5, 2009
Last Updated: Jun 5, 2009

Practice Location

Address: 276 MAIN ST
City: Spencer
State: Massachusetts
ZIP Code: 01562-1838
Phone: (508) 885-2749

Authorized Official

Name: LISA MARIE GIARRUSSO, D.M.D.
Title: PRESIDENT,TREASURER CMOA, PC
Phone: (508) 753-2489

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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